Volume 19, Issue 9, Pages (September 2018)

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Volume 19, Issue 9, Pages 1159-1169 (September 2018) Changing geographical patterns and trends in cancer incidence in children and adolescents in Europe, 1991–2010 (Automated Childhood Cancer Information System): a population-based study Eva Steliarova-Foucher, PhD, Miranda M Fidler, PhD, Murielle Colombet, MSc, Brigitte Lacour, MD, Peter Kaatsch, PhD, Marion Piñeros, MD, Isabelle Soerjomataram, PhD, Freddie Bray, PhD, Prof Jan Willem Coebergh, PhD, Rafael Peris-Bonet, PhD, Charles A Stiller, MSc Monika Hackl, Anna Zborovskaya, Nadya Dimitrova, Zdravka Valerianova, Ladislav Dušek, Margit Mägi, Alain Monnereau, Jacqueline Clavel, Michel Velten, Anne-Valérie Guizard, Véronique Bouvier, Xavier Troussard, Anne-Sophie Woronoff, Emilie Marrer, Brigitte Trétarre, Marc Colonna, Olivier Ganry, Pascale Grosclaude, Berndt Holleczek, Zsuzsanna Jakab, Laufey Tryggvadóttir, Lucia Mangone, Franco Merletti, Stefano Ferretti, Bianca Caruso, Maria Michiara, Rosario Tumino, Fabio Falcini, Roberto Zanetti, Giovanna Tagliabue, Otto Visser, Giske Ursin, Ryszard Mężyk, Kamila Kepska, José Laranja Pontes, Maja Primic Žakelj, Rafael Fernández- Delgado, Marisa L Vicente Raneda, Enrique Almar Marqués, José Ramón Quirós Garcia, Arantza Lopez de Munain, Rafael Marcos- Gragera, Maria-Jose Sanchez-Perez, Maria Ramos Monserrat, Eva Ardanaz, Jaume Galceran, Staffan Khan, Claudia E Kuehni, Christine Bouchardy, Fabio Levi, Isabelle Konzelmann, Sabine Rohrmann, Sally Vernon, David H Brewster, Ceri White, Anastasia Dolya Eva Steliarova-Foucher, PhD, Miranda M Fidler, PhD, Murielle Colombet, MSc, Brigitte Lacour, MD, Peter Kaatsch, PhD, Marion Piñeros, MD, Isabelle Soerjomataram, PhD, Freddie Bray, PhD, Prof Jan Willem Coebergh, PhD, Rafael Peris-Bonet, PhD, Charles A Stiller, MSc Monika Hackl, Anna Zborovskaya, Nadya Dimitrova, Zdravka Valerianova, Ladislav Dušek, Margit Mägi, Alain Monnereau, Jacqueline Clavel, Michel Velten, Anne-Valérie Guizard, Véronique Bouvier, Xavier Troussard, Anne-Sophie Woronoff, Emilie Marrer, Brigitte Trétarre, Marc Colonna, Olivier Ganry, Pascale Grosclaude, Berndt Holleczek, Zsuzsanna Jakab, Laufey Tryggvadóttir, Lucia Mangone, Franco Merletti, Stefano Ferretti, Bianca Caruso, Maria Michiara, Rosario Tumino, Fabio Falcini, Roberto Zanetti, Giovanna Tagliabue, Otto Visser, Giske Ursin, Ryszard Mężyk, Kamila Kepska, José Laranja Pontes, Maja Primic Žakelj, Rafael Fernández- Delgado, Marisa L Vicente Raneda, Enrique Almar Marqués, José Ramón Quirós Garcia, Arantza Lopez de Munain, Rafael Marcos- Gragera, Maria-Jose Sanchez-Perez, Maria Ramos Monserrat, Eva Ardanaz, Jaume Galceran, Staffan Khan, Claudia E Kuehni, Christine Bouchardy, Fabio Levi, Isabelle Konzelmann, Sabine Rohrmann, Sally Vernon, David H Brewster, Ceri White, Anastasia Dolya The Lancet Oncology Volume 19, Issue 9, Pages 1159-1169 (September 2018) DOI: 10.1016/S1470-2045(18)30423-6 Copyright © 2018 The Author(s). Published by Elsevier Ltd Terms and Conditions

Figure 1 Incidence trends of cancer in children aged 0–14 years in Europe, 1991–2010 Jagged thin lines indicate annual age-standardised rates in countries and smooth red thick lines indicate modelled incidence trends in regions. The Lancet Oncology 2018 19, 1159-1169DOI: (10.1016/S1470-2045(18)30423-6) Copyright © 2018 The Author(s). Published by Elsevier Ltd Terms and Conditions

Figure 2 Overview of observed incidence trends of cancer in children aged 0–14 years for the entire study period and for any time segments identified in joinpoint analysis, by diagnostic group and region of Europe, 1991–2010 Red indicates an increasing trend, blue indicates a decreasing trend, and white indicates no significant trend. Absence of bars indicates no joinpoint was identified for a given category. The Lancet Oncology 2018 19, 1159-1169DOI: (10.1016/S1470-2045(18)30423-6) Copyright © 2018 The Author(s). Published by Elsevier Ltd Terms and Conditions

Figure 3 Overview of observed incidence trends of cancer in adolescents aged 15–19 years for the entire study period and for any significant time segments identified in joinpoint analysis, by diagnostic group and region of Europe, 1991–2010 Red indicates an increasing trend, blue indicates a decreasing trend, and white indicates no significant trend. Absence of bars indicates no joinpoint was identified for a given category. The Lancet Oncology 2018 19, 1159-1169DOI: (10.1016/S1470-2045(18)30423-6) Copyright © 2018 The Author(s). Published by Elsevier Ltd Terms and Conditions

Figure 4 Incidence trends of cancer in adolescents aged 15–19 years in Europe, 1991–2010 Jagged thin lines indicate annual age-specific rates in countries and smooth thick red lines indicate modelled incidence trends in regions. The Lancet Oncology 2018 19, 1159-1169DOI: (10.1016/S1470-2045(18)30423-6) Copyright © 2018 The Author(s). Published by Elsevier Ltd Terms and Conditions